The holder whose full name is Jacob, Michael D.,come from Auburn KY,hold the Temporary RN Permit license(NO.99033529A) which status is Superceded.
| Name | Jacob, Michael D. |
|---|---|
| License Number | 99033529A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Auburn |
| State | KY |